Grade B screenings

Question 1

What is the definition of a grade B screening?

Answer 1

The USPSTF recommends this service. There is high certainty that the net benefit is moderate or these is moderate certainty that the net benefit is moderate to substantial

Question 2

Suggestions for practice with grade B screenings

Answer 2

providers should provide or offer this service

Question 3

hyperlipidemia

Answer 3

those who are 40 to 75 years old with no history of cardiovascular disease but have one or more risk factors for CVD and a 10 year CVD risk grater than or equal to 10% should be placed on a low to moderate dose statin

Question 4

hyperlipidemia after age 75

Answer 4

if there is no history of cardiovascular disease there is insufficient evidence that screening or a low to moderate dose statin is beneficial to the patient

Question 5

abdominal aortic aneurysm

Answer 5

Men who have ever smoked and are aged 65-75 years old a one time screening with ultrasound is a grade B recommendation

if your male patient has never smoked you can selectively offer screening, but it is not recommended routinely, this is a grade C recommendation

there is insufficient evidence for screen women aged 65-75 roar have smoked
however it is a grade D recommendation if they have never smoked and are aged 65-to 75

Question 6

aspirin prophylaxis

Answer 6

grade B for adults who are aged. 50 to 59 years old and have a 10 year CVD risk greater or equal to ten percent
and have no risk of bleeding and have a life expectancy of at least 10 years
they must also be willing to take low-dose aspirin daily for at least 10 years

60-69 grade C
younger than 50, insufficient evidence
older than 70, Insufficient evidence

Question 7

for what diseases is aspirin used as a prophylaxis

Answer 7

cardiovascular disease and colorectal cancer

Question 8

skin cancer

Answer 8

the screening itself has Insufficient evidence

BUT there is a grade B recommendation for counseling young adults, adolescents, children and parents of young children with fair skin types about minimizing UV exposure radiating in those 6 months old to age 24

once they are over 24 the recommendation becomes a grade C

Question 9

Breast cancer

Answer 9

grade B screen recommendation every 2 years for those aged 50- 74

grade C for those who are 40-49, approach to screening should be individualized to the patient based on history, etc.

Question 10

Lung cancer

Answer 10

grade B for adults who are aged 55-80 with a history of smoking

Question 11

screening for lung cancer

Answer 11

Annual screening with low-dose CT if there is a 30-pack-year smoking history and the patient currently smokes or has quit within the past 15 years

Question 12

when to discontinue lung cancer screening

Answer 12

once the person has not smoked for 15 years, or develops a health problem substantially limiting life expectancy or the willingness to have curative lung surgery

Question 13

Chlamydia & Gonorrhea

Answer 13

screen sexually active women who age 24 or older who at are increased risk

there is Insufficient evidence for men

Question 14

Hepatitis B

Answer 14

Grade B screen those who at high risk

Question 15

Hepatitis C

Answer 15

screen those at high risk and offer a 1 time screening to adults born between 1945 and 1965

Question 16

What birth year period should you offer a one time Hep C screening to?

Answer 16

1945 to 1965

Question 17

depression

Answer 17

screen the general adult population, including including pregnant & postpartum women

Question 18

major depressive disorder

Answer 18

screen for major depressive disorder in adolescents aged 12-18 y/o

Question 19

screening tools for depression

Answer 19

Patient Health Questionnaire (PHQ)-2
PHQ-9
Beck Depression Inventory for Primary Care
5-Item World Health Organization Well-Being Index (WHO-5)

Question 20

PHQ 2 questions

Answer 20

During the last month, have you been bothered by feeling down, depressed, or hopeless?

During the last month, have you been bothered by having little interest or pleasure in doing things?

Question 21

depression screening for those under 11 years old

Answer 21

insufficient evidence

Question 22

Tobacco use in children and adolescents

Answer 22

Grade B: provide interventions, including education or brief counseling, to prevent initiation of tobacco use among school-aged children and adolescents

Question 23

alcohol

Answer 23

screen adults over 18 for unhealthy school use and provide persons engaging in risky or hazardous drinking with brief behavioral counseling internets to reduce unhealthy alcohol use

screening for those 12-17 y/o has insufficient evidence

Question 24

intimate partner violence

Answer 24

screen women of reproductive age

if they older or vulnerable adults the evidence is insufficient

Question 25

what should you do if a women screens positive for intimate partner violence

Answer 25

refer to ongoing support services

Question 26

osteoporosis

Answer 26

screen women 65 y/o and older with bone measurement testing
also screen postmenopausal women younger than 65 y/o who are at increased risk of osteoporosis

Insufficient evidence for men

Question 27

obesity adults

Answer 27

offer or refer adults with a BMI 30 or over to intensive, multicomponent behavioral interventions

Question 28

obesity children and adolescents over 6 years over

Answer 28

screen for obesity and offer or refer to comprehensive, intensive behavioral interventions to promote improvements in weight status

Question 29

vision

Answer 29

vision screening at least once in children aged 3-5 y/o for amblyopia or its risk factors

Question 30

exercise

Answer 30

recommends exercise interventions to prevent fails in community dwellings 65 years or older who are at increased risk for falls

Question 31

Sexually active adolescents and adults

Answer 31

intensive behavior consoling for all sexually active adolescents and for adults who are all increased risk for STI